PACIO Transitions of Care Implementation Guide
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: Hemiparesis Diagnosis - JSON Representation

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{
  "resourceType" : "Condition",
  "id" : "BSJ-HemiparesisDiagnosis",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"BSJ-HemiparesisDiagnosis\"> </a><a name=\"hcBSJ-HemiparesisDiagnosis\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceCondition &quot;BSJ-HemiparesisDiagnosis&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-encounter-diagnosis.html\">US Core Condition Encounter Diagnosis Profile</a></p></div><p><b>Condition Asserted Date</b>: 2024-04-18 13:30:00-0400</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Power of muscles on one side of the body <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ICF.html\">International Classification of Functioning, Disability and Health</a>#b7302)</span>, Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/core/STU6.1/CodeSystem-condition-category.html\">US Core Condition Category Extension Codes</a>#encounter-diagnosis)</span>, Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: Right hemiparesis (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#278286009)</span></p><p><b>bodySite</b>: Right upper arm structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#368209003)</span></p><p><b>subject</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Patient/Example-Smith-Johnson-Patient1</a> &quot; SMITH-JOHNSON&quot;</p><p><b>onset</b>: 2024-04-17 15:40:00-0400</p><p><b>recordedDate</b>: 2024-04-18 13:30:00-0400</p><p><b>asserter</b>: <a href=\"PractitionerRole-Role-Neuro-NuraMekel.html\">PractitionerRole/Role-Neuro-NuraMekel</a></p><p><b>note</b>: Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports &quot;tingling&quot; in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
      "valueDateTime" : "2024-04-18T13:30:00-04:00"
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/sid/icf",
          "code" : "b7302",
          "display" : "Power of muscles on one side of the body"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "278286009",
        "display" : "Right hemiparesis (disorder)"
      }
    ]
  },
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "368209003",
          "display" : "Right upper arm structure (body structure)"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/Example-Smith-Johnson-Patient1"
  },
  "onsetDateTime" : "2024-04-17T15:40:00-04:00",
  "recordedDate" : "2024-04-18T13:30:00-04:00",
  "asserter" : {
    🔗 "reference" : "PractitionerRole/Role-Neuro-NuraMekel"
  },
  "note" : [
    {
      "text" : "Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports \"tingling\" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA."
    }
  ]
}